Lisa Bolgar, FNP-C

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

C-APN.0003304-C-NP Issued in CO

Practice address

1 E Liberty St Ste 600
Reno, NV 89501-2110

Phone

(800) 931-5883

NPI assigned

Jul 22, 2019

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2024.

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1811540677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E LIBERTY ST STE 600",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012110",
            "telephone_number": "800-931-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E LIBERTY ST STE 600",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012110",
            "telephone_number": "800-931-5883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Bradley Ln",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283746932",
            "country_code": "US",
            "telephone_number": "989-493-9034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283062412",
            "country_code": "US",
            "telephone_number": "910-429-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLGAR",
        "first_name": "LISA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CO",
            "license": "C-APN.0003304-C-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018043386",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Boland, PH.D.
• Julia A Bolduc, OTR/L
• Jason Allan Bolenbaker, O.D.
• Laura Faith Bolenbaker, O.D.
• Aaron Ray Bolenbaugh, HAS
• Channing Bolin
• Brienna Bolta
• Ferrisha Bolton-Brown, RN
• Arbury Day Bolton, MD
• Cindy June Bolton, M.P.T.

• All providers in Reno, NV
• General Practice Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.